论文部分内容阅读
目的:分析子宫颈扩张球囊应用于足月妊娠引产中的临床效果及护理对策。方法:选取2015年5月至2015年12月佛冈县人民医院接收的足月妊娠引产的产妇104例,随机分为两组,每组52例。对照组给予小剂量缩宫素静脉滴注引产,观察组在给予子宫颈扩张球囊引产的基础上联合小剂量缩宫素进行引产并进行相应护理。对比两组产妇处置前后宫颈成熟度评分、宫颈成熟率、阴道分娩率、剖宫产率、产程、新生儿Apgar评分以及术后24 h出血情况。结果:观察组处置后宫颈成熟度评分高于对照组,差异具有统计学意义(P<0.05);观察组宫颈成熟率、阴道分娩率以及剖宫产率均优于对照组,差异具有统计学意义(P<0.05);观察组第一产程和总产程时间均短于对照组,差异具有统计学意义(P<0.05);观察组新生儿Apgar评分和术后24 h出血与对照组相比,差异均无统计学意义(P>0.05)。结论:子宫颈扩张球囊应用于足月妊娠引产效果显著,配合小剂量缩宫素可明显促进宫颈成熟,提高阴道分娩率,缩短产程时间。
Objective: To analyze the clinical effect and nursing countermeasures of cervical dilatation balloon in induction of term pregnancy. Methods: A total of 104 maternal mothers who received induction of full-term pregnancy from Fayang County People’s Hospital from May 2015 to December 2015 were randomly divided into two groups (n = 52 in each group). The control group was given a small dose of oxytocin intravenous drip induction, the observation group in the dilatation of the cervix dilatation balloon induced abortion based on the combination of low-dose oxytocin induction and corresponding nursing. Cervical maturity score, cervical maturation rate, vaginal delivery rate, cesarean section rate, labor course, neonatal Apgar score and postoperative bleeding at 24 h were compared between the two groups before and after treatment. Results: The cervical maturation score of the observation group was higher than that of the control group (P <0.05). The cervical ripening rate, vaginal delivery rate and cesarean section rate in the observation group were better than those in the control group (P <0.05). The time of the first stage of labor and the length of labor in the observation group were shorter than that of the control group (P <0.05). Apgar score of neonates in the observation group and bleeding at 24 hours after the operation , There was no significant difference (P> 0.05). Conclusion: Cervical dilatation balloon applied to full-term pregnancy induced abortion is significant. Combined with low-dose oxytocin can significantly promote cervical maturation, improve vaginal delivery rate and shorten labor time.